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For men, a visual inspection of sexual characteristics can identify such endocrinopathies as hypogonadism (a condition resulting in atrophy or deficient development of secondary sexual characteristics) or Klinefelter’s syndrome (a genetic anomaly often associated with infertility). In most cases, surgery can be performed to either reverse these blockage or to retrieve sperm directly from the epididymis and testicles. According to the Office on Women's Health, about a third of issues with infertility comes from women, and another third starts with men.

The impact of fibroids located elsewhere in the uterus are controversial and do not always require surgery. Exercise: Both too much and too little exercise can lead to fertility problems.

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Specialized semen analysis, including genetic testing of the sperm (looking for the presence of antibodies) and evaluation of immobile sperm (to see if they are dead or alive). It does not affect the couples' life only, but it also affects the healthcare services and social environment [4].

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If the epididymis is blocked, sperm may not be ejaculated properly. Cervical factors are also thought to play a minor role, although they are rarely the sole cause.

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It involves removing eggs from the ovary of a donor who has taken fertility drugs. After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Causes of Infertility A problem in any one of a number of key processes can result in infertility. Adolescents with a varicocele and testicular atrophy or lack of growth should similarly consider repair. Stem cell therapy[edit] Nowadays, there are several treatments (still in experimentation) related with stem cell therapy. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Teratozoospermia is when there are a large number of sperms with abnormal morphology. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. A Series of Monozygotic Twins Discordant for Ovarian Failure: Ovary Transplantation (Cortical versus Microvascular) and Crypreservation. (PDF, 791 KB) Human Reproduction, 2008. Find an IVF Doctor  |  Free IVF Class  | Class Testimonials 5) Third party reproduction: This is a general reference to a general process where another person provides sperm or eggs, or where another woman acts as a gestational surrogate, with the purpose of helping another person or couple have a child. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010.